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1903 Sapphire Pt.4000 City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Use BLUE or BLACK Ink 1 Permit*: $5-7 ,5—E Permit Fee: /5-2cle) Date Received: 9,3 Staff:% 2010 MECHANICAL PERMIT APPLICATION K3C)--,Th Site Address: 1 G(2) Tenant: Suite #: J RESIDENT / OWNER Name: ---1-taratdE1 eib Cr Phoria' '' '- u--I-I Address / City / Zip: PC) --)D \ r �- 2t" . /1 5 CONTRACTOR Name: Dan Wohlers Southside — 6950 W. 146th Address: _ Apple Valley, MN State: , _ (952) 431-7099 Htg. & A/C ,` � a.. -r o5 4 i q g 7 St., #106 55124__ City: t , Contact: ZFUJ I '. Email: \.L��� 1 J §OU hSi del .-r-ren Lr7T TYPE OF WORK New Additional Alteration Demolition ,R�Replaacement Description of work:' eJL'C' r'-Eir na C Q . QJC—) �4 she �F ? `:.-' s r, a .:m .- �wus s< ^g,. e•aa o '�i @m � .. -�� P a a ��� PERMIT TYPE V' RESIDENTIAL Furnace COMMERCIAL New Construction _Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $r.;,6 ate Surcharge) 3_41 $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is Tess than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 _$ TOTAL FEE CALL BEFORE YOU DIG. CaII Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecali.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pi x (\k_ CId Lallett Applicants Printed Name Applicants Signature Use BLUE or BLACK Ink I For Office Use x T= f~;, U;t ~s I Permit Ct ~ ~ City of Ea V ~ , _ Ir Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: l Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t ' Site Address: '7, 47~' °7 - c . Tenant: r ®a~ " n Suite % c,jv RESIDENT /OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: "7, Multi-Family Building: (Yes, / No CONTRACTOR Name: License Z v_5 CcaZ s9 2) Address: 1 q ~-'71?ii City: V 1 State: y__7,J Zip: S 5 C'4 L Phone: , 2 2 it 1~'~ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a per it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X n - VN 7~K-J \,-J X ZY~ Applicant's Printed Name Applicant's ure Page 1 of 3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ++ 111 1 r+?3830 Pilot Knob Road Permit Number. ; 1 1 1 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 1 111 +; 111f. k 1 I .??,1 I II f ?? r• 1 OF FI 1 F 'r f IrMMuN'? i1i11 NO 1 F 1111,111+ ( 1) 1141 i t, I"1 1.38 W HH PERMIT SUBTYPE: TYPE OF WORK: Ill-',1 li 11, 1 1 IIN Ht w (I 111 a UNI Ir.) INSPECTION I I A14.1 filr 1 11111 1111, 114'-111 nl Ittl1 1 1 V I VI'A Ii 1111??i1 if II1111, 11 1 P,1 If I I I N111 I 111„ a l ff1t1 OFMARt.%i S k W 111 DR VAI 1 F % NI fits --I Permit No. Permit Holder Date Telephone ff SNV PLUMBING (S !01 ra HVAC S sop -//(o (11 ELECTR ELECTRIC Inspection Date In". Comments Footings l Foundation Framing AZ Roofing Rough Plbg. Rough Htg. -7,Q ?-GV!to t Isul. ?3/lq Fireplace ?D Final Htg. ?v Orsat Test Final Plbg. o- ?- Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final / b Deck Fig. Deck Final Well Pr. Disp. 49 JF L' of I. Z- V. (Fertificate of cccuvanc? Wit4 of Wagan depart- cut of 13KOixg 3x6pection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: u. cvssw ac. 40PLEX ( ! CF 4 HITS) Bldg. Permit No. 23913 O-Paney Type K' IM 1 Zoning District F111K4 Type Const. VN owner or Building TW RDMIM M TW Addass 2fi$ I fM TAT RM R(1SRiTIIIE Building Ad&m 1903 SARNM POINT Localit L 11. B1, DIMEY QrMIC 3RD r Dare Building official POST IN A CONSPIC )OLIS PLACE INSPECTION RECORD CITY 10F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: I t I 1 I?+ 11F } APPLICANT: I 4>' ii ? f l l l I' t !` T I: t t( 1 1 1 1 PI 11 t 11 L Id l I ILF' t11 FI 1 E Y 4.0MM11N'. i I? If r, in W 00 PERMIT SUBTYPE: f TYPE OF WORK: DV IAR I I` i 1 (IN { ( r)1 rill I I II 1 N6 0.15.114 01)/.'0/`j4 4 IONI I':1 INSPECTION TYPE DATE INSPECTION TYPE DATE INSPTR. I I: AM 1 1411 I<illl1 1 NO I I4',I11 A 1 1110 { 11,1 1,1 A,.f ,•I>tlt, 11 I tl i 1 f:1. 1, 11111111 I IJ It { 1, 1 1 NrlI I I BI, I I NA1 RfMARKS c S to 1-.1 PI FIR VAI LFY 111-60 1 tau;-r-4A -IL t> a Az-- L .iii : 1 tip- J Permit No. Permit Holder Date Telephone # S/W PLUMBING at% tea G 1 HVAC ELECT ELECTRIC Inspection Date Insp. Comments Footings 1 ?/ a! Foundation Framing c? D Roofing Rough Ptbg Ad Rough Htg. Isul. l /l9 l? Fireplace Final Htg. 4W Orsat Test /r Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final fv Deck Ftg. Deck Final Well Pr. Disp. werti f icate of cccupanc? MtV of Wagan zewthment of loam* 3x#0ection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use classification. 4-MYX (1 (1F 4 TRUM) Borg. Permit No. 23914 Occupancy Type R3N1 - Toning Maria Ma4 Type Const. VN Owner of BuildingJW- R= JIM LCO IM Address 2681 I! G LAKE RfLAD, Rf SEML Building Address 1905 SAM M, POINT f oniity L 12, B I. DIPEI.EY 0l1USED owe: Buil M Official POST IN A CONSMAJOl1S PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 11 t I- ; H I i11 a I APPLICANT: 1 '0 .A4'1'i11 # 1 I' I 1;11 111. IIrall 1 11 I P11 to 1 U1 I E Y f:0MM11NS 3RD (61:) b_{M--Of>AN PERMIT SUBTYPE: I I 1 ; TYPE OF WORK: 1)1:1;1 R1111 10H 1111 1 1 11 1 146 N"3•-i1 06/.'H/114 N F'U INSPECTION TYPE DATE INSPTR. INSPECTION .. I t ?"?M l r11? k11I1h I Ns, 11,41,111 A-11nH 1 II!I 1'1 A, I P4,111,11 I IM 1.1 It Ii k11111?N I rJ li I I I N A 1 11 rill I I NAi (1 111 4 11H1 I`.1 Hf MARCS! `.i & Vl 1'1 H1, VAI I 1Y Pf 01 7 J Permit No. Permit Holder Date Telephone it S/W PLUMBING oZ' a HVAC -CK'- ELECTRI /8 f??dd ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Plbg. "AN Rough Htg. N ??'Q7 -G C?ccGr- Isul. Fireplace Final Htg. Orsat Test Il h Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. sr ,( ' - 0 i w Werti f cate of cccoauc? critV of Wagan MeoarI tat of Va"* 3ndyection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use cu=&wadoo i_=$W1 CF 4 UNIM) Bldg. Permit No. 2NIS Occupancy Type R3/41 Toning Dmaict PD/R4 Type Cons[. VNI ownerof Building TR ROMM OD DE Adrbess 2681 IM LAKE ROAD, ROMMIR Building Address 1407 SAPPHIM POINT Locality L13, B1, DIFFM OMM 311d `?- Darr /L POST IN A CONSPICUOUS PLACE t `CITY' OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 101: 1't4l'+ ',Af'1')ilht f 1 01111i . 1 11MM11N'. AND PERMIT SUBTYPE: 1 1 1 f(01 1 1 11"D CO 11,41 ( 1-. I.' ) 6 1H 0!>0 0 TYPE OF WORK: 11h'.CHIV I ION (311 1 1 1? 1 N6 N.' i •? 1 1, Nb /.'N /'J4 1111 r1 f W 1 I OF 4 ION) I?.) INSPECTION I DATE INSPTR. • TYPE DATE INSPTR. fl:l1MIN1. 1'11Uf IN' (,Jy,,111 A 1 1 11'N 1 1 1+ t t 1 I1 1 I 1r11(?11 tN 1'I flit f 11111tH 1PJ 111.. 1 i P1?11 I'i H1 I I NAI HI MARKS, S & W P1fifr VA Il1•Y PLH(f 1,1 11 1 111 I I APPLICANT: Permit No. Permit Holder Date Telephone N SNV PLUMBING a..a? HVAC r ?j ?l 47 6 (p ELECTRI ?' Y h /ate ELECTRIC Inspection Date Insp. Comments Footings 1 661 / / Foundation Framing 7(? I? Roofing Rough Plbg. 3T ski, Rough Htg. I AW 11-6 xa?. Isul. Fireplace 0 Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Fig. Deck Final wail Pr. Disp. r.., '.19 41-V y Z Wertificate of Cccupauc4 Wit4 of Wagan Tepartmext of Sum* andoection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: use cl if...ion: 4-FM ( I OF 4 UNM) Bldg. Permit No. 23416 Occup-ly Type -k3/)41 Zoning Dial. M! R4 Type Const. VN Owner of Building IW RDTIEW OD IW- Address 2681 Tom' LAKE RWD, k-MVIUE Building Mdnsg I" &UTHIRR POINT Locality L 14, B 12 DI= DQfiDNS 3RD Date. Building Off POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: + t111 1*1 f NrI 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I Pir . } 141 ;} ? SITE ADDRESS: 1 . r < APPLICANT: i.r !'Ii t ..I 1 W1 r r11d' I r!i PERMIT SUBTYPE: TYPE OF WORK: I(I 1'A 114 M NII b WA T U P 0AMA1J 11F ''( k 11• f 1 !IN INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. 1'lltlr,ll I,t>t i) 1 I, I 11lri1 1 0111 1 Nh fit MARt"A . I Nr t 001' `; - 1901F , 140 AMfi 1')09 %APPI111 ' P f t1 1.11 114 x Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL / ?j / 7 "j ° 9s? ? ? N 2 3 ev Request Date Fire thu R gh-nlnpsection Required - Inspection Other Th n - u moat c pector when ready) ? Ready Now WIII Nati spector Ves ? Dale Ready 6aw -OR Pd I icensed contractor p owner hereby request inspection of above electrical w Job Address (Street, Boa or R to No.) Cily , 0 40 ) Section No. TownsM1ip Name o N o- Range No. County A Occup (PRINT) Phone No. Power Supplier P_a c Address Electrical Contractor (Company Name) Contractors Lioense No. Mailmg Add 2c FM 1oMtonl 5TH ST W CA00381 . ., FCTnI_ A'^' 55024 Authorizetl on tiAs?er MakNg Installs ion) 4 : Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. y/?$/r? REOUEST FOR ELECTRICAL INSPECTION MM r? (?[ ? See mstrucTions for completing this form on track of yellow copy 71 X" Below Work Covered by This Request 2 3 N" EB-00001-08 ew, dd- R":. Type of Building AppliancesWiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other lspecifyf Contractor's Remarks: Compute Inspection Fee Below: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps, Above 100 Amps Signs . Inspecti Use 0 I1 TAL Irrigation Booms _ Gv ' Special Inspection ? 7 J /A.IL icV40 ? / r Alarm/Communication THIS INSTALLATION MAY B 06 I EC4 IF NOT Other Fee COMPLETED WITHIN 8- MONTH IA. I, the Electrical Inspector, hereby Rough-in oat certify that the above inspection has been made. Final oat ', ?Q OFFICE USE ONLY This request wile, 18 months from N29Z a Request Date ?-'???(? Fire gh-In Inps ion Required Ou mu inepecr., when ready) Yes ? No Ins action Other Th in Ro Ready Now Will Notjapectnr Date Ready It? , licensed contractor ? owner hereby request inspection o abovee a ,cal work Job Address (Street Box or R e No.) 113oin 43 0 A1 . 4vulp City / "I Section No. , Township Name o o. Range No. County Occ IIPRINTI Phone No, Pow uDDlier Atltlress Electrical Contractor (Company Name) Contractors License No. Mailing Atltl3 6? P , J G N ,( MN 55024 463- 87 Authpnzetl on gInstallation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 862-0800 ENCLOSED. g ?! REQUEST FOR ELECTRICAL INSPECTION 6i ",, 1 ee-ooom.oe ? See instructions for completing this form on back of yellow copy. i,..;/? ?C 72 "X" Below Work Covered by This Request ?w? ' 3 '3 7 Ala eis Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks' ^ Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O 0 tc 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector's Use Only OTAL Irrigation Booms If?,_d Special Inspection rorAI- ? Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONN CTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in / t - Daly- certify that the above inspection has certify been made. Final / rf/' - • !?- 7`? 7 OFFICE USE ONLY This request void 18 months from 9 2 3 /. Aa& j d 30, % 5/9 7 do Request Date Fire N (? gh-In Inpse 'on Required u mu m pector when ready) Ves ? No Inspection Other Th ? Ready Now Dale Read gh-In Will Notify Inspector I icensed contractor El owner hereby request inspection of above electrical work at: Job Address (Street Box or Ro No.) Q City Section No. Township Name No Range No. County Occu PRINT( Phone No. Power ppLer Address Electrica Contractor (Company Name) Contractors License No . Mailing Acdre FG&rjjLQEe7"0,1nsy&l 3100-225TH ST. W., FGTN., 17 46A 518 CA00381 MN 55024 Authorized S Tract caner Makin Ins a la ionl 11 Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Mictway Bldg. - Roam S-170 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. $1, Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION" ?% EB-00001-0e Ills See instructions for completing this form on sack of yellow copy 2997 3 ' 'x° Below Worktovered by This Request ) e Add ReI3. Type of Building . AppliagcesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm /industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps -IT 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs . Inspectors Use Only. TQTAL Irrigation Booms =7) f Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rough-in Date - 2 certify that the above inspection has been made. Finel Deta OFFICE USE ONLY This request void to months from '7// r9 / 49V-s7 °° ss N2997 41/4,A[ , 70? Reoueat Date Fir ugh-In 1 pse Required Inspection Dther T n Ro - n ou s1 spagor when ready) ? [3 Ready Now lltT- Will Notify Inspector No Yes Date Ready 1zlicensed contractor D owner hereby request inspection of above electrical work at: Address (Street. Box or R to No) Job City n 1 Section No. Township Name Not. Range No. County /I _ •/ Occ (PRINT) Phone No. Pow uppM1er Address Electrical Contractor (Company Name) Contractors License No. l .onj Mailing AddressaM tfroft perM'tpkirLp,tn: t l1 C II IFii 00 [[ :7 C S 1 T. 4 , , 3100-2225TH S - FGTN. ? AO?91 Authorized Slgn Comra=ri wner Making Ins,468Q o a 10 Phone Number MINNESOTA STATE BOARD OF ELECTRICRY J THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. _?_ _ _ 7r REQUEST FOR ELECTRICAL INSPECTION'" mod, E9-010001-08 9? See Instructions for completing this farm an back of yellow wpy.'Io?95C j N 1 g7 4 'X" Below bVork ?vered by This Request . ` ew d<b Aep Typeof Build)ng Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bur ing Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks'. Compute Inspection Fee Below: Other Fee # Service Entrance Size Fee # Cimuits/Feeders Fee Swimming P001 0 to 200 Amps 0 to 1W Amps Q Transformers Above 200 Amps Above 100 Amps BignS Inspectors Use Only. TAL Irrigation Booms Special Inspection :2: DN Alarm/Communication SC ,-TED THIS INSTALLATION MAY BE IF NOT Other Fee COMPLETED WITHIN 1 MONTHS. . I, the Electrical Inspector, hereby Rough-in Dam certify that the above inspection has been made. Foal f r Date OFFICE USE ONLY f9 'f ` V °y'l This request void la months from Address 1903 sAPPHIRE Pom Zip 5512 2 Lot 11 Blk 1 Sub DIMEY QQ44DNS 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: /p Yes No Inspector: Final grade (6" from siding) 17 Permanent steps (garage) I Zdc Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass v Trail/curb damage V Porch V Basement finish V Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy Address 1905 SAPPHIRE POINT Zip 5512 2 Lot 12 Blk I Sub nTmFy. a mm inn THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: /O 4e w Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy - Yellow - Resident Copy Pink - Contractor Copy Address 1907 SAPPHIRE Polar Zip 5512 2 L.ot ' r3 Blk I Sub DIFFLEY OU44DNS 3RD THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: ///L! f Yes No Inspector: Final grade (W" from siding) ? Permanent steps (garage) ? Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass f Trail/curb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists, Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy Address 1909 SAPPHIRE POINT Zip 5512 2 Lot' - '14' Blk I Sub DIFFFLEY r„QMONS 30 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. r Date: Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage f Porch r/ Basement finish t/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 09/30/2008 08:51 7577841426 G&K MACHINE PAGE 03 ----- -----t I ? I 6o 7 City of Eajan ; Pemmk? 1 ^?? 3830 Pilot Knot Road t I'°maa Fes: Eagan MM 35122 ; Dore nocelvsd: Phone, (661) 676.9675 t Fax: (651) 6755594 1 stall. ------------ 1 ?20oos RESIDENTIAL BUILDING PERMIT APPLICATION Oats: Va Site Address: eJ? 9 O p lc f`?? 7` Tenant• Suite A' RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant Is: -Owner -Contractor OF WORK Description of work: ??L?ii!1_ ®gx/ 4a lit SrO?int. KaM Construction Cost: -?l,_ /J. dZ AMrPo-Family SuRdlrg: (ft.)a f No CONTRACTOR Nsme:G i jAf' CA2L/io/t• G Cleanses: 3sa7 rn? Addresa...Z ? &a_r 1, Cnye4r.a to4ZlpSSyn Stta Phona:7e?-&PiL=dEN L Contact Person: ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Coda • Resldenllal venelatlon Category1 wadtahaet New Energy Code Wodhsheet Category Submated SubnMed (J submission type) • Energy Envelope Galoulatlons Shlbnited In the last 12 months, has the City of Eagan Issued a permit tar a similar plan based an a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phan: Mechanical Contractor: Phan: Sewer a Water Contractor: Phone: NOTEr:P11?1+41f"tifNdlNipptpYtNJ?,tl?MYfitilltY?`7tlfi'!?1 .,.- Mew lorrit?ttnll h1YYy?tlY?tllt _ I hereby aclvwwtedge that this infonnaslon Is caftplets and accurate; that the work will be In car io nine wilh the ordinances and codes of the City of Eagan: that I understand this is not a permit. bha only an applk.dm to a permit, and work Is not to start Wttoul a pemth that the work will be In accordance whh the Approved plan In the ohse of work whl h rettulres a raNew and approval of s. Applicant's Printed Name Applicant's Signature Page 1 of 3 n-0- 02, R '0.s1? l 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ? f (V / 05 Site Street Address Unit # Property Owner l1? f l a Telephone# tv.) Contractorr? r Address O? City T lephone# (?5A p • State Zi S \Ij The Applicant is: _ Owner contractor - Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/o r water heater--complete next section if installing these appliances). Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Wa r Softener Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that 1 understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Prinjed Name cT Applicant's Signat re CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 8 3 2 4 Date Issued: 0 7 / 19 / 9 6 SITE ADDRESS: 1903 SAPPHIRE PT LOT: 11 BLOCK: 1 DIFFLEY COMMONS-2#?4 P.I.N.: 10-20452-110-01 DESCRIPTION: WIND & WATER DAMAGE Permit Type STORM DAMAGE LJ,ork Type REPAIR d.?`s?, 434 ALT. RESIDENTIAL . M ,% C orb°,y 2 P, REMARKS: INCLUDES: 1905, 1907 AND 1909 SAPPHIRE PT L12 L13 L14 FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC OWNER: OU ALL SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS 636 39TH AVE NE 1903 SAPPHIRE PT COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 I .• F ? fn?,rel?y,;?ckm i n f c r m a°t i o.rv, ) Statuf,??s et4i4? APPLICANT/PERMITEE SIGNATURE ISSUEQ'PY: SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouirements Remodel/Repair Reouirements ? 3 registered she surveys ? 2 copies of plan ? 2 copies of piano (include beam & window sixes; poured fnd. design; etc.) ? 2 she surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation pion h bt platted after 711/93 required: Yes No DATE: 08 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: 9 LOT &ke- BLOCK 0 D. #: PROPERTY Name: && as "Phone #: OWNER Vj/ C/ MST Street Address* City: State:?,f? Zip l ? 671Y1111 CONTRACTOR Company: /!,l(1/?? V"u- r auni ,- JAC Phone M -/99. Street Address: 06 - --2170d"E- License #• 3 O City: J4r State: /KK Zip. 255<1V ARCHITECT! Company: Phone #: ENGINEER Name: Registration #' Street Address- City: State: Zip: Sewer & water licensed plumber. change are requested once permit is Issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: A? W:i ------------ OFFICE USE ONLY G?I?CC?L ?M?s® I Certificates of Survey Received Yes No Jul- ,5 Tree Preservation Plan Received Yes No -______--•-•• .-••_ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units 9 PLEASE COMPLETE FOR ALL COMMERCIAIANDUSTRIAL BUILDINGS. ALSO FOR MOI TI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED° FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $-_ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE MINIMUM FEE: $ 25.00 . _`, CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAN OWNER NAMEC? INSTALLER: $ 4700 ADDRESS: 'f[a?/U (P??/l/ (fife CITY: 2?kX/ STATE: PHONE #: "'71P/ - 33 (al 7 ZIP CODE: STE. # 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum -1 ROUGH OPENINGS 3.00 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • De1.C,y. iic• 20.00 U.G. SPRINKLER • home under comm. 3.00 ALTERATIONS • to eidsung 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE #: ( SIGNATURE OF PERMFITEE 1994 PLUMBING `PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814695 B ^ BD W c) J RECEIPT # 33'17 (0 ;EIPT DATE TO JOB OWN PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE /j-, ELECTRICAL INSTALLATION IN THE AMOUNT OF $ SHORTAGE MUST BE PAID WHITHIN 14 DAYS. REMARKS 0 to 30 amp. circuits= /pU? r 31 to 100 amp. circuits 0 to 100 amp service= 101 to 200 amp. service- TOTAL FEE DUE- LESS FEE RECIEVED I/.??&C7/ TOTAK. F RE SHORTAGE DUE _ cJ PERMITII 24 ORIG. RECEIPT# i jw- 97 RECEIPT DATE 2-d:l- RETURN A COPY OF THIS FORM WITH REMITTANCE. LUTE I0 -/l j!'4 .1 .4 L? B 2 SUBD AA-VU4 3 NEW RECEIPT #33790 RECEIPT DATE /T I TO JOB OWN t PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE Gd P ELECTRICAL INSTALLATION IN THE AMOUNT OF $ SHORTAGE MUST BE PAID WHITHIN 14 DAYS. REMARKS 0 0 to 30 amp. circuits= (RJ ?__ CC) 0 to 100 amp service= /,]-- \. DATE L 0 1?? PERMII#A1,l PCB ) `Z- ORIG. RECEIPT# aLppZlfQ 2 RECEIPT DATE y r1 RETURN A COPY OF THIS FORM WITH REMITTANCE. LESS FEE RECIEVED 11 .3 K 7d-- 702 cO SPECIAL ASSESSMENT SEARCH SUMMARY AS OF: 10/06/1994 PROPERTY ID: 10-20452-120-01 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100040 SAN SW TRK 1967 30 6.0000 85.87 0.00 0.00 CL 100105 STM SW TRY 1970 20 8.0000 467.45 0.00 0.00 CL 100201 WATER AREA 1972 15 8.0000 134.92 0.00 0.00 CL 100257 WM/STM LAT 1973 20 8.0000 151.13 0.00 0.00 CL 100444 S/L STUB 1980 15 8.0000 130.39 0.00 0.00 CL 100467 TREE REMOV 1980 05 8.0000 6.14 0.00 0.00 CL 101033 STREET#306 1985 15 11.0000 957.53 0.00 0.00 CL 101034 SSLAT 306 1985 15 11.0000 235.01 0.00 0.00 CL ------ SUMMARY OF LEVIED 0.00 0.00 0.00 ****** 1994 P&I CERTIFIED 0.00 ------ SUMMARY OF DEFERRED 0.00 0.00 0.00 ------ SUMMARY OF PENDING 0.00 0.00 0.00 ------ SUMMARY OF CLOSED 2168.44 Press ENTER; or F1, F4, F5, F7, F8 'PlecitVoFoagan THOMAS EGAN Mayor Special Assessment Search Date: October 6, 1994 Requested Sy: ReT Diffley CommnS 3rd Land Title Inc Lot 12 Block 1 PATRICIA AWADA SHAWN HUNTER SANDRA A. MASiN THEODORE WACHTER Couma mwnDen . THOMAS HEDGES City ACIM"sltator E. J. VAN OVERSEKE Cory Cleo On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replatting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF FAGAN. Very truly yours ?C.?itc?6?av SPECIAL ASSESSMENTS MUNICIPAL CENTER 5650 PILOT KNOB ROAD EAGAN. MINNESOTA 651224897 PHONE: (612) 661.4600 FAX (612) 681.4612 TDD: (612) 45-&555 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH W OUR COMMUNITY Equal Opporlunlty/ArypmaRve Acllon Employer MAINTENANCE FACILITY 5501 COACHMAN POINT EAGAN. MINNESOTA 85122 PHONE: (612) 681.4500 FAX: (612) 681.4560. IDD: (612) 454$535 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNrr- NO. FUMJRES EACH TOTAL 'a SHOWER 3.00 t" WATER CLOSET 3.00 1. - BATH TUB 3.00 3- LAVATORY 3.00 1. - KITCHEN SINK 3.00 , - _I LAUNDRY TRAY 3.00 3 ' HOT TUB/SPA 3.00 1_ WATER HEATER 3.00 '3- FLOOR DRAIN 3.00 GAS PIPING OUTLET •„m .1 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Daay. iv- 20.00 U.G. SPRINKLER • home unaa =mL 3.00 ALTERATIONS • to guns 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE TOTAL: .50 G. i o SITE ADDRESS: 110$ S^luk:•t ?1: OWNER NAME: INSTAL.LER:_ U A l l .F (? , ADDRESS: CITY: STATE: M- ZIP CODE: PHONE #: ( ) 115) - J a I C i cz, SIGNATURE OF PERIVIITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681.4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUE:DING& ,ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT 'RE6&D-- 'FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE STATE SURCHARGE: $SO FO R EACH $1,000 OF FEE MINIMUM FEE. $ 25.00 CONTRACT PRICE X:1% STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE. PHONE #: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN .3830 PILO-T.10968 RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ks, FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) t5? ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL ?J ) SITE OWNER NAME:c',? TELEPHONE TELEPHONE #: 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CITY: STATE: ZIP CODE: PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: 1% OF > FEE PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL FEES $25.00 $25.00 $.50 FOR EACH $1,000 OF MM FEE. SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) -- ml in s"w" AaAftf""EW- INSTALLER: r^•%.• qo.: , I It "J1 -a ADDRESS: CITY TELEPHONE STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. MO. FI%TURES SHOWER WATER CLOSET BATH TUB :?6_ LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA ?- WATER HEATER -T FLOOR DRAIN GAS PIPING OUTLET • ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dak cty. ue. U.G. SPRINKLER • home undo conc. ALTERATIONS • w m+tivg WATER TURN AROUND STATE SURCHARGE TOTAL: EACH 3.00 (a- 3.00 [.- 3.00 1 - 3.00 l? 3.00 3 - 3.00 3 - 3.00 3.00 3- 3.00 3 - 3.00 s 1.50 5.00 20.00 3.00 20.00 20.00 .50 3G. ? o SITE ADDRESS: MOS wev?:« L OWNER NAME: C o U(?-? 91 co T_ . . ADDRESS: ? (o 6 Ca._J A E.. A , ( CITY: 3y rd n , STATE: 0 - ZIP CODE: S' i ) c J' PHONE #: ( ) qj )- )III SIGNATURE OF PERMIITEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS-. ALSCIt OR<<` " i e = I I = FAMILY BUII.DINGS WHEN SEPARATE -PERMITS' ARE -NOT REQLjIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION _ ADD ON _ :REMAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEEL STATE SURCHARGE: $.50 FOR EACH $1,000 OF 1 FEE. NEgfIMUM FEE. $ 25.00 ,. CONTRACT PRICE" R 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: 5 T ,r OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING PERMIT (.COMMERCIAL) C$f•,Y OF EAGAN 3830 PILOT 10401 1: EAGAN MN.,, 35122 (612.)"681-4675 -?- 1, PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE C9 - ?C'? ?y HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ non EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE OWNER FEES $ 24.00 6.00 $ 20.00 G.50 TELEPHONE #?o ` ADDRESS: 9303 Plymouth An M0. oenae, CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: $ 1% OF FEES FEE $ PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL $25.00 $25.00 $.50 FOR EACH $1,000 OF MM FEE. SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) P. INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 5$122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES EACH TOTAL 'a SHOWER 3.00 (y- WATER CLOSET 3.00 1.- BATH TUB 3.00 LAVATORY 3.00 L KITCHEN SINK 3.00 3- LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 3- GAS PIPING OUTLET • minimum - t 3.00 9 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • na.ay. ua, 20.00 U.G. SPRINKLER -home uuda covet. 3.00 ALTERATIONS • to auwt8 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: i? SITE ADDRESS:_ _ 1 ?t U AI e l :• t 7l t OWNER NAME: ADDRESS: ? G 6 d V A K ,1 0 CITY:_ aQ.,IA ? STATE: F% , ZIP CODE: Ss3 f .1 PHONE #: ( "(q 1- a(I. - SIG? TURD F PERMITTEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN SS122 (612) 681-467S PLEASE COMPLETE FOR ALL COMMERCIAL A NDUSTRIAL BUILDINGS. ALSO FOR, MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED - FOR EACH DWELLING UNIT. _ NEW CONSTRUCTION ADD ON REPAIR,. a et.. •k-, aLyaA x>K .:+i.. as :A .. WORK DESCRIPTION: CONTRACT PRICE:: $ FEE: 1% OF CONTRACT FEET STATE SURCHARGE:: 5:50. FOR EACH $1,000 OF FEE. MINIMUM FEE: $ 25;00: CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE; ZIPCODE:. PHONE #: FOR: CITY OF EAGAN APPLICANT 1994 .PLUMBI NG PERMIT (COMMERCIAL). CITY OF EAGAN 3830 PILOVKNOB RD EAGAN`MN SS122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE FEES $ 24.00 6.00 $ 20.00 OWNER NAME:' C?\'?? TELEPHONE INSTALLER: FLARE I i • r 1W! ADDRESS: 93031!y Au? NL ?1-M CITY: STATE: ZIP CODE: TELEPHONE #:-?? 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: I% OF I ? FEE $ PROCESSED PIPING: $25.00 MINDAUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF Ii-"1?- FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: s.d. . .3i,L.i?r TENANT NAME: (IMPROVEMENTS ONLY lit l? ?',!r? •° INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIWT KNOB RD EAGAN MN SS122 (612) 681-467S PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FDUURES EACH TOTAL ?L- SHOWER 3.00 (o Q WATER CLOSET 3.00 ?o - BATH TUB 3.00 LAVATORY 3.00 1 - KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 -5 HOT r WATER HEATER 3.00 - FLOOR DRAIN 3.00 - 1_ GAS PIPING OUTLET • minimum - 1 3.00 - ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • D&cay. u- 20.00 U.G. SPRINKLER • home unda owsL 3.00 ALTERATIONS • to dating 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: 3 G- r SITE ADDRESS: lion ? aQf : 4? l OWNER NAME: n N f INSTALLER: JA o t.11 co T. • . ADDRESS: V66 bqa { CITY: 5 u / o' A . STATE: V'L% - ZIP CODE: S 3 s PHONE #: ( ) Wi a a (I I SIGNA OF PERM=E 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILDT KNOB RD EAGAN MN 55122 (612) 681.4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF ISM FEE MINIMUM FEE $ 25.00 CONTRACT PRICE R 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY. PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 19% PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PH OT KNOB RD EAGAN MN SS122 (612) 681467S ??Q,',A PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ s3.oo EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) STATE SURCHARGE TOTAL SITE AIr OWNER INSTAL] ADDRE: CITY: X303 RVN" Ara FEES $ 24.00 6.00 $ 20.00 S? TELEPHONE STATE: ZIP CODE: TELEPHONE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PH.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR RAPROVEMENT WORK DESCRIPTION: I CONTRACT PRICE: 1% OF FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: 310 TENANT NAME: (DOROVEMENTS ONLY) CZI ??A M 'flr''1 -; INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-20452-110-01 DESCRIPTION: ?---? (1 OF 4 UNITS) Building"Permit Type 4-PLEX Building Wor--k Type NEW UBC Occupancy R-3 M-1 Construction Tye V-N Zoning PD R-4 Building Length Building Width Bui-lding',sto,ries 52 39 (4 S7 BUILDING 023913 06/20/94 REMARKS: S & W PLBR - VALLEY PLBG PERMIT 1903 SAPPHIRE PT LOT: 11 BLOCK: 1 DIFFLEY COMMONS 3RD PERMIT TYPE: Permit Number: Date Issued: 1 FEE SUMMARY- Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $567.50 $368.88 $42.00 $800.00 100 $1,778.38 $84,000 MISCELLANEOUS $1,828.50 Total Fee $3,606.88 CONTRACTOR: - Applicant - ST. LIC. OWNER: ROTTLUND CO INC, THE 16380500 0001335 THE ROTTLUND CO INC 2681 LONG LAKE RD 2681 LONG LAKE RD ROSEVILLE MN 55113 ROSEVILLE MN 55113 (612) 638-0500 (612)638-0500 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mr. S a tes and City of Eagan Ordinances. ?/ ?lrurn Ra?.?,Ll APPLI ANT/PERMITEE SIGNATURE ISSUED ': SI NAT R INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 1903 SAPPHIRE PT DIFFLEY COMMONS 3RD PERMIT SUBTYPE: 4-PLEX BUILDING 023913 06/20/94 APPLICANT: 11 BLOCK: 1 ROTTLUND CO INC, THE (612) 638-0500 TYPE OF WORK: NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION TYPE FOOTINGS ,DATE INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG IFINAL PLBG FINAL REMARKS: S S W PLBR - VALLEY PLBG CITY OF EAGAN `pit FLFY COmMDW 711 91 1994 BUILDING PERMIT APPLICATION 681=4675} ri u t? SINGLE & MULTI=FAMILY 2 sets of plans, gis ere s t s rveys, I copy of energy talcs. JUN 0 9 1994 COMMERCIAL :. 2 sets of archite tural_?i structural plans, I set of specifications, 1 s. by last working day of month Penalty applies: I) when permit is typed; but not picked up , in which request is made, 2) address is changed or .3) lot change is requested once permit is issued. ? 1 Date 7 / Valuation of work FP ?f T? Site Address: j Q 0_5 ?APP4#1& STREET SUITE A T Zk)L : i l nl ft A ROTTLUM-b t0MP W V s . Tenant Name (commerc a y) o 1 LOT jz BLOCK , Y.I.D. M S _ __ 1. amfnwA Descri tion of work: (4 wjrf? MULTI FAM (Describe) The applicant is: W Owner Contractor ? Other ` o p 1 90 mu ne. ?( Ph Name 1 [ i Property LAS" Owner 681 LONE 1a9 RDA ` Address • STE 8 City :.f 'R? tL State m N Zid rs/?? J Company m Phone Contractor Address, License a Exp. City State Zip Phone Company Architect T n * I61&40 t i ti N m 1 M W H ITTV0 R / Engineer eg s ra o a e 1 ??11 ` K?...?* CTTi ..?w* Addre e s nE ssl IM I IT W PLACE ? / 55345 State IN IQ Zi Cit •11 N(VE1bNtA p y I . Sewer & water.licensed plumber Y Processing time for sewer & water.permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all-applicable Sta of Minnesota Statutes and City of. `. Eagan Ordinances....,. 'SignaWv%b:of Applicant:. OFFICE USE ONLY 3,7 BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 1241ex ? 10 Multi. Add'l. ? 11 Apt./Lodging ? 12 Multi. Misc. 0 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous WORK TYPE f p C?Q? V31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish - El 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) V V Basement sq. ft. z 3 Z MWCC System UBC Occupancy & R2_ M-/ 1st F1. 2nd F1. sq. ft. sq. ft. City Water PRY Required Zoning # of Stories -y _L Sq. Ft, Footprin total t Sq. ft. Booster Pump Fire Sprinkler Length Depth S z On-site On-site well s Census Code ewage SAC Code 3 APPROVALS Census Bldg Census Unit Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS. ? .Site ? IR Footing In Framing I$ Insulation Wallboard q Final ? Draintile ? Fireplace Permit Fee Surcharge vatamtfm: g p a0 Plan Review License ?ar• 3?0 /(o = Sabo MWCC SAC City SAC Water Conn. ??ovge ?Ys 2- ? SY 22 Water Meter , Acct. Deposit S/W Permit. S/W Surcharge 3©?? Treatment P1. ? Road Unit Park Ded. Trails Ded. Coppies Other Total: SAC % SAC Units Pioneer Enoineerins 78E1883 P.02 2422 endotatHeights, MN $5120 * ** m * PIQ1YEER LAND SURVEYORS • GVIL gNGNURS (612) 881-1914•Fax 681-9488 k eng nssr ng LAHO "LOm"E"s a tAtes"41'r aRON 825 Highway 10 Northeast * * Blaine, MN 55434 1(812) 783-1880•Fox 783-1883 ertificate of Survey for. The Rottlund Componx Inc. O A rn 01 ? .rt 1 ? 1s.s6 ? 77 t' x r 9as.9 I _ m 6) to 14.77 t 2057 12 ' ? . tj1 ?'%, 1913 13 t ? 14 It 1907 t, It _ 1809 ?u 2ae7 sp67 614:!7 yo` -1477 k1 I- I F'r EAGAN REVIEWED 6.16, 10tQ PLWS Ail 1?Y?E qTY 6N011R'FR. ACCORDANCd WaN 7N6 ORADWQj'1^' ime COIIt11AC70R w1s7 vt7ar r DiuDasaNS uw Daivt My ? EAGAN E G R G DEPT. a no Denotes Ekleting Elevation 39iD Denotes PFoposed Elevation Denotes Drainage & Utility Easement -«-Denotes Drainage Flow Direction -o-- Denotes Monument Garage Slab Elevation: Q (4+ ciao,-) a Denotes Offset Hub Bearings shown are assumed _OT_ 1.1,, BLOCK 1 Diffle Commons 3rd 12,13,14 mare mim, mmE90rn 3R AD D I TI ON 1 hereby certify that this Survey, plan Of Mail was prepped by nu cr under my direct ttiparvision and that i am duly Restsured Land Surwyar under the lava of th96100 of Minnetou. Dated thlaIDL day of 3 s4• A.D. t8 . Kld : 4/7/9-4 Ec.E/w. azxw Scale: 1kicb-30fat ROBERT B. SI KICH". REG. NO.48 1 - t , I v 0 t 14043.06 7831883 06-16-94 03:43PM P002 #16 LOT SURVEY CHECKLIST FOR RESIDENTIAL 0 W m m 11 13 0 ? ? 13 BUILDING PERMIT APPLICATION PROPERTY LEGAL: DOCUMENT STANDARDS Date of Survey: -a-zr.- • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and bar scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient $. • Proposed/existing sewer and water services • Street name • Driveway ELEVATIONS Existing p" ? ? Sewer service a- 0 0 Lot corners 0' ? ? Top of curb at the driveway 0 Elevations of any existing adjacent homes Proposed 0--n ? Garage floor ?? ? ? ? First floor ? ?- ? Lowest exposed elevation (walkout/window) @- ? Property corners 0? ? ? Front and rear of home at the foundation PONDING AREAS (if applicable) ? 9: Easement line ? CT ? NWL ? 6-- 0 HWL ? 0?'-13 Pond # designation ? ?-10 Emergency Overflow Elevation DIMENSIONS 1?? 0 Lot lines J2--(3 ? Right-of-way and street width (to back of curb) 0-10 ? Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all ' structures requiring permanent footings) ithi ? ? 0 Show all easements of record and any city n utilities w those easements C?0 ? Setbacks of proposed structure and setback of adjacent existing homes 0 Oi?? if any Retaining .pAui Reviewed: October 1992 i, C __ MH ?. z+oo CONNECT TO EXIST. SAN. SWR. lo•M..±•_o--""Fyy S -' CONNECT TO EXIST: WATER MAIN - II ti+o ?O ?' •••••&* WYE=0+27_"" >- c.o. INV-:p8930 woo% =1460 VMS 4%p CO C.O. 6' i yyyE.p+gg? IN 92.0. MH STA. 4+25 3 v l INV=891.2 2 4 8.5 RT I? 1 4° u?sE c.o. 1" COPPER ' + 1 TYPE K g 8 22 BEND SERVICE. W/. 1. IT11 co STA. 1+50', CURB STOP' p 1 ?i ! 1 8"1114 BEND 5 e I HYDRANT _ c. ----- 7 - 8"x 6" TEE INV 892'0 4 7'-6"DIP. CL 52 / U - GND. EL 898.34 WYE=O+?Q Q\? 'G I INV=891.PH ?ERE. P r Q t' U 4LERV- / n22 O 1 G I2 , . WYE=0+78 -?- ID? '/ MH STA. 2+40 BEND ?. Y 2 9.3 RT. INV=8920 8045* BEND rP CO=0+56 x? C.O. MH 2 / MH STA. 3+25 5 ,x 3 10.7-R. C ?V 1 1-t v OF E.A IN D®CV !ERV. _ iCC 'URRC OF UTILITY LOG MiI.. / ,? P<I)r LE VAT NS. THIS Dl?7A P0 V INFr>?;1:^ 1"IpN POSES ti ERS`Oi ' USING HOU sri'.; v N MH STA. 0+77 - INFORhv; i.ON THE ?( 7 .......................... EWSTJNG--R E_899.0--\ «?? --- --\ -- --------------------8"45'-8€NQ= FTENTOR t•:t1,v .r,npF. AVENAGE "U" CUtIMrPfATI;)N /4rCUVA- OWIN Ln ., S_TE ADDRESS CONTRACTOR go uA"r. ?? DATE PHONE i 1 Deter=in 4orkin(; square foota,:e of each. 1. Total exposed v.'l area sq. ft. x 0.11 = %e j gil 2. Total roof/ceiling area `A-0-2 s; ft. x 8,026 _ - U71 . Total exposed wa'11 area nbovc floor a. Total wall window area ... f .? J b. Total dcor a.-e_ c. Total sliding g? ass coor area ~u, III Total fi.reo_la_. :all area e e. Total wall (razing area (everage 100) ....... !.? f. Total net wall area above floor ....... J $. Total rim ,'Gist -.e^_ .. ........ .. ..... ......... .. ?- Total exposed for:r,dation area = f Z h. Total foundat_.... .:indc area .... . Total net fo`zda.ion area above grade Dete:-Mine "U" value of each wall s.:c;ment. a. ;r _ . 1 , b. 3.( x ,.U... / 3 n. 5 C. 5lf . 4?:Je- x r7 d. ?- x , U„ e. 1 x ,U•. 4% t g. x h. x _- 1. 3. If item #3 is the sa--l_ as, or iesc '_11:,n iLC:a .i1, you awe met the 'ear of SBC 6006(c)2. n z S ' Total exposed roof/ceilinD area = f ? C./ Total gross roof/ceiling area = J. Total skyliclt area _ k. Total roof/ceiling franinS area .............. 1. Total net insulated roof/ceiling area ........ /1 11 7 _ Determine "U" vdlue for Inch ruof/ccilint', scF,Mcnt. 1. Z 4 . ...............................:. Total = :± If total of .#4 is the same es, or less than N2, you have met the intent of sac 6oo6(c)i. To utilize the total envelope system method, the values established by the sun of items N3 aria #4 shall not be greater. than the sun of items 91 and d2. 1. + 2. _ _ 4 - r. V CITE( OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1905 SAPPHIRE PT LOT: 12 BLOCK: 1 DIFFLEY COMMONS 3RO P.I.N.: 10-20452-120-01 (2 )-Y// r P/J-mw BUILDING 023914 06/20/94 DESCRIPTION: (1 OF 4 UNITS) Building' Permit Type 4-PLEX Building Wo,r..k, Type NEW f` UBC Occupancy-,,, R-3 M-1 l Construction Typ=e V-N Zoning PO R-4 Building Length- 52 Building Width i 39 Building stories u. 1 62 REMARKS: S & W PLBR - VALLEY PLBG FEE SUMMARY Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $567.50 $368.88 $42.00 $800.00 100 1 $1,778.38 $84,000 MISCELLANEOUS $1,828.50 Total Fee $3,606.88 CONTRACTOR: ROTTLUNO CO INC, THE 2681 LONG LAKE ROSEVILLE MN (612) 638-0500 - Applicant - ST. LIC 16380500 0001335 RD 55113 OWNER: THE ROTTLUND CO 2681 LONG ROSEVILLE (612)638-0500 INC LAKE RD MN 55113 I hereby acknowledge that I have read this information is correct and agree to comply St te6 and City of Eagan Ordinances. APPLICA T/PERMITEE SIGNATURE application and state that the with all applicable State of Mn. ISS tow 1121,9 UED : SI NATUR INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 023914 Eagan, Minnesota 55123 Date Issued: 06/20/94 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 12 BLOCK: 1 1905 SAPPHIRE PT ROTTLUND CO INC, THE DIFFLEY COMMONS 3RD (612) 638-0500 PERMIT SUBTYPE: 4-PLEx TYPE OF WORK: NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION TYPE FOOTINGS .DATE INSPTA. INSPECTION FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR - VALLEY PLBG F- L ! 1Y1?Y?11;C<- anq i UIi Y OF EAUAiv. I 'FOGY COmrrok)511 1994 BUILDING PERMIT APPLICATION 681-4675} ri u Yn SINGLE & MULTI-FAMILY 2 sets of plans, g's ere s s rveys, I copy of energy talcs. JUN 0 9 1994 COMMERCIAL 2 sets of archite tU,6j & structural plans, 1 set of specifications, 1 - =€a s. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in.which request is made, 2) address is changed or ;3) lot change is requested once permit is issued. Date _ n 7 Valuation of work FP ? I S ? / ?fi ? Site Address:.__(SArt'/7(??E 7bjN7' STREET SUITE 0 T C tT Tenant Name: (commercial only) 1 ft JR0., ` M"b Comp w y aklc LOT _ = BLOCK .? S F.I.D. # , 1 rov F "MMWA Description of work: ?N L) ') M1 U I. FIRM ` The applicant is: Ix Owner Contractor ? Other (Describe) _ Name aim u M CDMPAM Q I MUL Phone (039 ?(60 Property LAS- .. o?oer Owner, Addr s ?bHl LONG LAIC 9pI es STE N City E ?? I LuE State Ch W Zid 55r?3 Company M6 Phone Contractor Address - License Exp. City State Zip Company 11 11TEM Phone Architect/ Engineer Name 'TIM W H ITTW Registration # I l0 3b'1 Address i 59 AF kMCW eTMW PLACE City ININNETONKA State M Q Zip 3445 Sewer & water licensed plumber V Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is . correct and agree to comply with all.applicable Sta of Minnesota Statutes and City of .: Eagan Ordinances:. : ; , . . `Signature `61 Applicanti. . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ® 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ?o? ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning 0 of Stories Length Depth APPROVALS V° ?o / Pb P"y 35 ? 35 Tenant Finish ? 36 Move .e...? , V, ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement sq. ft. 1st Fl. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site Footing ? Wallboard C Final MWCC System X City Water PRY Required Booster Pump Fire Sprinkler Census Code /oz SAC Code 03 Census Bldg Census Unit _ - Assessments 12 Framing ? Draintile ,a Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total:' velmtton: $ Cr. 3Go l? , ?? d J y ? ?J ZB 4o Esc - &3 2- r== ? 11 Apt./Lodging ? 12 Multi. Misc. 11 13 Garage/Accessory ? i4 Fireplace ? 15 Deck SAC % SAC Units ?c7 r, or I?NVE[.f11'b: AVIUiAGE "11" coHr, PrATIOU /4r ,,L*&` SITE ADDRESS 'N CONTRACTOR 90 % _!JNTi D:tTe. PHONE % 71 7 i Deter=?,,j vor.tinr; square foot,,lc of each. 1. Total expcsed wall area .. -c-?? sq. ft. x O. 1'- 2. Total roof /ceiling area sq. ft. x x,026 Total expcsed .a'tl area nbovc flew- _ ?5l a. Total wall window area .. . .... ........ b. Total door area ......... ? ....... , '• C. d Total T t l S114 ng elass door l area .............••• ? ?? .••'. ? . o a firep ace :=il area ......... -? e. Total call ;'racing area ( average 10') ........ ..... !? , f. Total net veil area above floor g- Total rin joist _. e_ .. .. ............. - -^ Total exposed fnur,dst ion area = ?f Z h. Total fosndation vindcv a ree ............ -= i. Total net fc?ndst' - =on a.e_ above grade .. ..... Detzrmine °U" valve of each wall n...,ment . - t , x Z::> C. 5?. x ..U.. 27 r7 . x ?- 'l ll u h, x l . C i 7 x N If item #3 is the sane as, or iesn '_h:,n .Ilan .#i, you hare net the ;..tent of sac 6006(x)2. Total exposed roof/ceilinG area = { y N. Total gross roof/ceilinr; area = J. Total skylight area .......................... _ k. Total roof/ceiling framing area ............... 1. Total net insulated roof/ceiling area ........ Determine "U" value for mach ruoC/cciIin. scymcnt. x "Un = -- I'U" 10'2 k -4 0. 1. Z -7 u. b . ...............................:. Total if total of A is the se:ie as, or less than N2, you have met the intent of ssc 6oc6(c)i. To utilize the total envelope system nethod, the values establi_hed by the sun of items #3 and A sha11 not be greater. than the sum of items dl a.-id #2. I Q City OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1907 SAPPHIRE PT LOT: 13 BLOCK: 1 DIFFLEY COMMONS 3RD P.I.N.: 10-20452-130-01 -moo ?y BUILDING 023915 06/20/94 DESCRIPTION: (1 OF 4 UNITS) Ruilding'--Permit Type 4-PLEX ?uildinq Wo-k Type NEW UBC Occupancy, R-3 M-1 Construction Ty$e V-N Zoning PD R-4 Building Length 52 Building Width , 39 Building stories V, REMARKS: S & W PLBR - VALLEY PLBG FEE SUMMARY- Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $567.50 $368.88 $42.00 $800.00 100 $1,778.38 $84,000 MISCELLANEOUS $1.828.50 Total Fee $3,606.88 CONTRACTOR: ROTTLUND CO INC, THE 2681 LONG LAKE ROSEVILLE MN (612) 638-0500 - Applicant - ST. LIC 16380500 0001335 RD 55113 OWNER: THE ROTTLUND CO 2681 LONG ROSEVILLE (612)638-0500 INC LAKE RD MN 55113 I hereby acknowledge that I have read this information is correct and agree to comply Sta a es and City of Eagan Ordinances. APPLICA /PERMITEE SIGNATURE application and state that the with all applicable State of Mn. ICRI4 ?PL?? - ISSUED a SIG AT RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 023915 Eagan, Minnesota 55123 Date Issued: 06/20/94 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 13 BLOCK: 1 1907 SAPPHIRE PT ROTTLUND CO INC, THE DIFFLEY COMMONS 3RD (612) 638-0500 PERMIT SUBTYPE: 4-PLEX TYPE OF WORK: NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION TYPE FOOTINGS .DATE tNSPTR. INSPECTION FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S 6 W PLBR - VALLEY PLBG 7 J P Y 1FralLIK- X5915 CITY OF EAGAN, 1994 BUILDING PERMIT APPLICATION 681.4675.: } ri u m SINGLE & MULTI=FAMILY re 's e)s rveys, I copy of energy 2 sets of plan : talcs. 1 r COMMERCIAL 2 sets of archuctural plans, I set of ite specificationsi°gy a s. Penalty applie s:' Ij when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ?a ( 7 / q Valuation of work ?y ? I t `i • ? ' / n7 ? Site Address:- 07', '-'??l9P?i/NT STREET SUITE b T t N l NE -ROTt'LI M ?omppoiV x c enan ame: (commercia only) ,. i LOT 13 BLOCK , U ED. P.I.D. # ( UMM" ,/y Descri tion of work: M U I.-TI Fow The applicant is: V Owner Contractor ? Other (Describe) Name befR.l,lComPA&W Phone Property LAS- .. a?uet T Owner Le,, Address `2b81 LONG-fj1C? ?I ?.e«. .- - ... STE 0- .. City i ?O5E1/1 I.L. State In IJ :::..zid 55r?3 Company mis Phone Contractor Address. License .l Exp. City State Zip Company Phone Architect/ Engineer Name M W H ITam Registration # I103b'1 71 Address I151 ft Amaie toQN wAce city I IINN?NrA State rhlU zip 3 15 Sewer & water licensed plumber V Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all, applicable Sta of Minnesota tatutes and City of. Eagan Ordinances:: Signature of Applicant:. OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 1241ex ? 10 Multi. Add'1. WORK TYPE P 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual (Allowable UBC Occupancy Zoning 0 of Stories Length Depth APPROVALS V?/ V& Iz-3 Lt-/,/ P z-v 52 39 ? 11 Apt./Lodging ? 12 Multi. Misc. El 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move r:. ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement,sq. ft. 1st F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft, total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ?.Site [a Footing ? Wallboard ® Final /y3 z MWCC System Y - City Water ;F- PRV Required Booster Pump Fire Sprinkler Census Code - z SAC Code o3 Census Bldg L Census Unit - Assessments E Framing ? Draintile ® Insulation ? Fireplace Permit Fee vatmcion: Surcharge Plan view wav' ?? a 360 /6 = S License J MWCC SAC City Water SConn. 40 v s °` l y3 z' k s<< 7 3 z? Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies . Other. Total: SAC % SAC Units . . MTENiOR ENVFMIlF. AVF:ItAC?I•: "0" CUM^UTATPM 14r112VA. OVN ER SITE ADDRESS CONTRACTOR DATE. Pf{ON c Deteryin wor inr; square foot:,;e of each. 1. Total exposed v,='! area )?1,5 SCI. ft. x 0.11 2. Total roof /ceiling area .. I -/?-'J /] sq. C-1. x 0 026 = DE Total exposed wall area above floor a. Total wall window area .. { b. Total door are. ........... .............. C. Total sll.....-S g?a55 CCO:' 2783•.••..•••••.••••••.••. ^ ?L d. Total fire>>sce :all a: es ...... e e. Total wall f ra,ing are: (average 101) / . f. Total net well area above floor g. Total rim joist _.__ ........... --- Total exposed foundation area = 2- h. Total foundation window area . i. Total net fo`ndst_cn area :^.bove grade D'_te -ine U11 val ce of each wall ;pgment. a. lull -.4 V I C. 5?f . ? x IIU,I fJ. z i ?7 = . d. x 11u11 i _ e. x .'lull 'l ll - x u 71 9- x h. x 'lull ?r x uUn 3. ror.nl = I ?L:?. Sf item #3 is the same as, or iesc f.han .item. .P • you have net e is _r.t of sac 6oo6(c)2. ` 0 Total exposed roof/ceiling area = f Total gross roof/ceiling; area = J. Total skylight area .......................... k. Total roof/ceiling framing area ............... 1414, i^, 1. Total net insulated roof/ceiling area ........ Determine "U" vdlue for each ruuf/cci.lint. scy,mcnt. lull 1. 7, 7, lull 2- 4 . ...............................:. Total = If total of #4 is the sale as, o: less than N2, you have met the intent of Sac 60o6(c)i. To utilize the total envelope system -method, the values establi<hed by the sun of items 13 and #4 shall not be greater. than the sum of items All and X2. 1. 0 2. _ C1* OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C2 a?i r V (,i" A BUILDING 023916 06/20/94 SITE ADDRESS: 1909 SAPPHIRE PT LOT: 14 BLOCK: 1 DIFFLEY COMMONS 3RD P.I.N.: 10-20452-140-01 DESCRIPTION: (1 OF 4 UNITS) Balding--,Permit Type 4-PLEX Building Wo,r.k Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 Building Length <-_ 52 Building Width 39 U s ,' Building stories 1 j,?1/?'L` 4`?t a ?It ?b? l REMARKS S & W PLBR - VALLEY PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal VALUATION $567.50 $368.88 $42.00 $600.00 100 1 $1,778.38 $84,000 MISCELLANEOUS $1,828.50 Total Fee $3,606.88 CONTRACTOR: - Applicant - ST. LIC. OWNER: ROTTLUND CO INC, THE 16380500 0001335 THE ROTTLUND CO INC 2681 LONG LAKE RD 2681 LONG LAKE. RD ROSEVILLE MN 55113 ROSEVILLE MN 55113 (612) 638-0500 (612)638-0500 I hereby acknowledge that I have read this information is correct and agree to comply Stat s and City of Eagan Ordinances. APPLICANT/PE t E SIGNATURE application and state that the with all applicable State of Mn. ISSUED qY: SI NA7?? + I L.C7 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 023916 Eagan, Minnesota 55123 Date Issued: 06/20/94 (612) 681-4675 SITE ADDRESS: LOT: 14 BLOCK: 1 APPLICANT: 1909 SAPPHIRE PT ROTTLUND CO INC, THE DIFFLEY COMMONS 3RD (612) 638-0500 PERMIT SUBTYPE: 4-PLEX TYPE OF WORK: NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION FOOTINGS DATE INSPTR. INSPECTION TYPE FOUNDATION DATE INSPTR. FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR - VALLEY PLBG L CIl Y OF F-AUAN1. 1 'FEY e6 mWoLb-g1 1994 BUILDING PERMIT APPLICATION 681=4675 j} ri u Yn SINGLE & MULTI=FAMILY 2 sets of plans, gis erect s e s rveys, 1 copy of energy calcs. JUN 0 9 1994 COMMERCIAL 2 sets of archite turn _k structural plans, I set of - specifications, 1 -energy=E s. Penalty applies:` 1) when permit is typed, but not picked up by last working day of month in which request is made,: 2) address is changed or 3) lot change is requested once permit is issued. . Date _ c / _7 Valuation of work. ?Ia - Site Address:.: 0 " --- SAPPIL& RINE - STREET SUITE B T N n " j'?-QOTTLUM b tomPA k)V T enant ame: (commercial o ly) c I O LOT _ BLOCK S D Description of work: ufjrt? Mu i gr" The applicant is: W Owner Contractor ? Other (Descr ibe) _ ? 6 Name bmu m Ch O"KLl ? . _ME Phone Property . LAS- 97DCT Owner Address ?b81 LONG LAke RDI STE p Caty:.i dROSEY?L r.- State n'l IU Zid 5511.3 Company m Phone ,Contractor Address, License'# Exp. City State Zip Company Phone 9 3-6 - 12-5;L ngite E er Arch ineer Eng ame I I M W H ITT TM Registration k I b 3b'7 Address !91M JEkMC0JeTftC* W PlAce , City MI NNE ONK.At State (Ilk) Zip 55345 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all,,applicabl.e Sta of Minnesota Statutes and City of. Eagan Ordinances:: Signature of Applicant:. BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE X3 31 New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex O 10 Multi. Add'l. / 94 ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual (Allowable UBC Occupancy Zoning 4 of Stories Length Depth APPROVALS V/V ?z ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move Basement sq. ft. 32 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ?.Site ? Wallboard [ Footing C Final LI Framing ? Draintile f0 Insulation ? Fireplace Permit Fee valuation: g ??o Surcharge Plan Review License ?Qv 3 ?0 /y - S MWCC SAC City SAC / Water Conn. ?ovSE Water Meter Acct. Deposit S/W Permit S/W Surcharge 3 Treatment Pl. J Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ? I, 04 s? ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water _ PRV Required Booster Pump Fire Sprinkler Census Code /?5z SAC Code Census Bldg Census Unit 11, Assessments 2007 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 -051-675-5675 Please complete for modifications to existing residential dwailings _1_I Date Site Street Address 1167 S ? ppkt e- Emit # '' Property Owner C-:J ?e SFd G h Telephone # (651) y6l t x Contractor Telephone # { ) t'_ Address l City State Lt°` Z'tp , w w n The Applicant is: _ Owner & Occupant _ Licensed Plumbing Contractor Septic System = New _ Refurbished Submit 2 sets of plans and MPC license Y Includes County lee $ 100.00 Per as-built t! 5 10.00 Fire Repair (replace burned out fixtures, etc.) S 90.00 This fee applies when extensive piumbinq repairs are made to a building. 2 Alterations to existing dwelling S 50.00 _ Add plumbing fixtures to main level ower levei. This fee includes Installation of a water softener and;or water heater at the same time, if you are t installing oniv a water softener an&or water {seater, do not complete -this section: move to the next section and place a checkmark next to the appliancefs) you are ! installing. l _Septic System Abandonment Water Turnaround (add 5136.40 if a 518' mete: is required) Other: h _ Water Softener Water heater 5 15.00 new repiacement Lawn Irrigation _RPZ _PVB new _repair -rebuild S 30.00 '. State Surcharge S 50 y J y. ? Total S r i hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes: that I understand this is not a permitr but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the evem a clan is required to be reviewed and approved. Applicant's Printed Name Appiican s Signature Sep 30 13 08:57a LS West, Ilc 9522368445 p.10 Use BLUE or BLACK Ink r..---------------- For Office Use 41100 • , Permit: uiq of EaVIl Permit Fee: , l 3830 Pilot Knob Road ~ I Eagan MN 55122 Date Received: Phone: (651) 675-5675 l I Fax: (651) 675-5694 h Staff I t 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I DID, 3 Site Address: 9 D3 40'-' NO a) 401 <rl} Yt'10 i tii unit Name: TT I<H ~j}vywr~ 5 u 1 U VI ` Phone: Residentl Owner Address / City 1 Zip: Applicant is: Owner Contractor ' Type of Work Description of work: 1_ed►Y- 6if CeVtX~T WI ~~r"'l~b ✓t ~~i 4 ~5 Construction Cost: 4~ 3g 3l . ~7 Multi-Family Building: (Yes / Nom Company: i IC'i Contact: AII 46 Contractor Address: b~1 2e a eyfirv City: Ld (e I~ State:r Zip: q-[ Phone- q% License Lead Certificate P PAT- "f b 6 f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor. Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified. as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org I hereby acknowledge lhal this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of worts which requires a review and approval of plans. Exterlorwork authorized by a bullding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x AppficanYs Printed Name Appli is Signature Page 1 of 3